Code: Q5105

Description:

Description: Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
HCPCS Category: Temporary codes (limited use and guidelines specific)

Other Descriptions:

RETACRIT BS 2000U ESRD

RETACRIT BS 4000U ESRD

RETACRIT BS 10000U ESRD

RETACRIT BS 40000U ESRD

RETACRIT BS 3000U ESRD

EPOETIN ALFA-EPBX 4000 UNIT/ML INJECTION SOLUTION

EPOETIN ALFA-EPBX 40000 UNIT/ML INJECTION SOLUTION

EPOETIN ALFA-EPBX 3000 UNIT/ML INJECTION SOLUTION

EPOETIN ALFA-EPBX 2000 UNIT/ML INJECTION SOLUTION

Related codes:

Code: Q5101

Description: Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q5102

Description: Injection, infliximab, biosimilar, 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q5103

Description: Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q5104

Description: Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q5106

Description: Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q5107

Description: Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q5108

Description: Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q5109

Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)

Georgia

Hospital	Address	Code	Price	Last Updated
Memorial Health	4700 Waters Avenue, Savannah	Q5105	$7 [source]	4 years ago
Cartersville Medical Center	960 Joe Frank Harris Pkwy, Cartersville	Q5105	$288 [source]	4 years ago
Redmond Regional Medical Center	501 Redmond Rd, Rome	Q5105	$363 [source]	4 years ago
Fairview Park Hospital	200 Industrial Boulevard, Dublin	Q5105	$1,149 [source]	4 years ago
Memorial Satilla Health	1900 Tebeau St, Waycross	Q5105	$1,521 [source]	4 years ago
Coliseum Health System	350 Hospital Dr, Macon	Q5105	$2,563 [source]	4 years ago
Doctors Hospital Of Augusta	3651 Wheeler Rd, Augusta	Q5105	$6,310 [source]	4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.